HomeMy WebLinkAbout300862 07/21/16 CITY OF CARMEL, INDIANA VENDOR: 370871
® ONE CIVIC SQUARE MICHELLE MURPHY CHECK AMOUNT: $*******135.08*
CARMEL, INDIANA 46032 2710 HEATHERMOOR PARK DR N CHECK NUMBER: 300862
WESTFIELD IN 46074 CHECK DATE: 07/21/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 5023990 071316 135.08 OTHER EXPENSES
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CI'T'Y O IAR1liIEL
JANNIES BRANARD, MAYOR
July 13, 2016
Michelle Murphy
2710 Heathermoor Park Dr.N
Westfield, IN 46074
RE: RUN #20160861:1 DOS 02/17/2016 Michelle Murphy
Dear Michelle Murphy:
Enclosed you will find a refund check for $135.08.
Discovery Benefits your health spending account sent a check for $135.08.
This account was already closed and paid in full on 04/25/2016.
Duplicate payment received created overpayment. -
Refund to be issued to Michelle Murphy.
If you have any questions, please feel free to contact me at (317) 571-2604.
Sincerely,
Michelle T. Harrington
EMS Billing Administrator
CARMEL FIRE DEPARTMENT
STEVEN A. COUTS HEADQUARTERS
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CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL, IN 46032-2584
a.4"IVOV. (317) 5712604 Federal ID#356000972
Patient Name: MURPHY, MICHELLE
MICHELLE MURPHY CARMEL FIRE DEPARTMENT
2710 HEATHERMOOR PARK DR N 2 CIVIC SQUARE
WESTFIELD , IN 46074 CARMEL, IN 46032-2584
TO ASSURE PROPER CREDIT, RETURN Statement Date Patient ID AMOUNT PAID
THIS PORTION WITH YOUR PAYMENT 07/13/16 990113116
Ticket# : 20160861:1
Date of Service: 2/17/2016
DETACH HERE
DISCOVERY BENEFITS SENT A CHECK FOR$135.08.ACCOUNT WAS PAID IN FULL ON
3
04/25/2016. OVERPAYMENT REFUND MICHELLE MURPHY$135.08. THANK YOU
3 =
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MAKE CHECKS PAYABLE TO: CARMEL FIRE DEPARTMENT BALANCE
Pay online at www.govpaynet.com with PLC#7487 Run Number . 20160861:1
Online Payment will charge a service fee.
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Charges
2/17/2016 *BASIC LIFE SUP MURPHY, MICHELLE $475.00
2/17/2016 *MILEAGE MURPHY, MICHELLE $200.40
---------------------------------
Charge Total: $675.40
Payments
Paid By. Invoice 02/17/16 $675.40
Paid By: PROHEALTH GOLD PLAN COMMERCIAL INSURANCE 04/14/16 ($540.32)
Paid By: MURPHY, MICHELLE Credit Card Payment 04/25/16 ($135.08)
Paid By: MURPHY, MICHELLE COMMERCIAL INSURANCE 07/13/16 ($135.08)
Paid By. MURPHY, MICHELLE REFUND 07/13/16 $135.08
BALANCE $0.00